HIPAA Standard Code Set
Plus about 100 additional codes sets in the X12 formats
Claim Adjustment Reason Code Set
Click here to open the Washington Publishing Company's website for a complete list of the EDI Claim Adjustment Reason Codes used on provider payment vouchers.
Code Set Implications
- Local codes are eliminated; translate to standard code set
- CPT-4 and HCPCS will overlap for physician services.
- CPT-4 for inpatient procedures now ICD-9-CM
- Must continuously stay abreast of all changes and communications on medical and non-medical code sets.